Individual provider Active NPI

Nicolas George Slenkovich, MD

  • Specialist
  • Englewood, CO
National Provider Identifier
1700926425
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
38426 Issued in CO
Practice address
701 E Hampden Ave
Suite 130
Englewood, CO 80113-2736
Phone
(303) 783-1000
Fax
(303) 783-1001
NPI assigned
Feb 8, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 38426 CO Primary

Addresses

Primary practice location

701 E Hampden Ave
Suite 130
Englewood, CO 80113-2736

Mailing address

701 E Hampden Ave
Suite 130
Englewood, CO 80113-2736
Phone (303) 783-1000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150112001717 CO Order and Referring Only - Plastic and Reconstructive SurgeryPractitioner - Plastic and Reconstructive Surgery 3779496468

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
38426COMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Aboutskin Dermatology and Dermsurgery PC Specialist Past Accepting new patients
Colorado Plastic Surgery, P.C. Specialist PastSince Jul 15, 2003 Accepting new patients
Surgery Center of Colorado LLC PastSince Jul 28, 2009 Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1700926425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 E HAMPDEN AVE",
            "address_2": "SUITE 130",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801132736",
            "telephone_number": "303-783-1000",
            "fax_number": "303-783-1001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 E HAMPDEN AVE",
            "address_2": "SUITE 130",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801132736",
            "telephone_number": "303-783-1000",
            "fax_number": "303-783-1001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLENKOVICH",
        "first_name": "NICOLAS",
        "middle_name": "GEORGE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CO",
            "license": "38426",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Englewood, CO

Sources for this page

Verify at the official NPI Registry.